NICE Guideline CG155: Psychosis in children and young people

This guideline is concerned with the recognition and management of psychosis and schizophrenia in children and young people up to the age of 18.

The term ‘psychosis’ is used in this guideline to refer to the group of psychotic disorders that includes schizophrenia, schizoaffective disorder, schizophreniform disorder and delusional disorder. This guideline also addresses those children and young people considered clinically to be at high risk or prodromal for psychosis and schizophrenia.

The recognition, treatment and management of affective psychoses (such as bipolar disorder or unipolar psychotic depression) are covered by other NICE guidelines.

This guidance stresses that signs of psychosis and schizophrenia in children and young people need to be identified early to help ensure they receive the treatment and care they need to live with the condition.

The guidance covers:

  • referral from primary care for possible psychosis
  • treatment options for symptoms not sufficient for a diagnosis of psychosis or schizophrenia
  • referral from primary care in first episode psychosis
  • treatment of subsequent acute episodes of psychosis or schizophrenia
  • education, employment and occupational activities for children and young people with psychosis and schizophrenia.